Provider Demographics
NPI:1710130646
Name:TURNER, RICHELLE D
Entity Type:Individual
Prefix:MRS
First Name:RICHELLE
Middle Name:D
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6165 FOX RUN LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-8125
Mailing Address - Country:US
Mailing Address - Phone:859-647-6024
Mailing Address - Fax:
Practice Address - Street 1:6165 FOX RUN LN
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-8125
Practice Address - Country:US
Practice Address - Phone:859-647-6024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor